title: Tension band plating of a nonunion anterior tibial stress fracture in an athlete.
abstract: The authors present a rare technique of tension band plating of the anterior tibia in the setting of a nonunion stress fracture. Surgical management with an intramedullary nail is a viable and proven option for treating such injuries. However, in treating elite athletes, legitimate concerns exist regarding the surgical disruption of the extensor mechanism and the risk of anterior knee pain associated with intramedullary nail use. The described surgical technique demonstrates the use of tension band plating as an effective treatment of delayed union and nonunion anterior tibial stress fractures in athletes without the potential risks of intramedullary nail insertion.
authors.affiliation: Department of Orthopedic Surgery, USC Keck School of Medicine, Los Angeles, California 90033, USA. jarrad.merriman@usc.edu
authors.forename: Jarrad A
authors.initials: JA
authors.lastname: Merriman
authors.forename: Diego
authors.initials: D
authors.lastname: Villacis
authors.forename: Curtis J
authors.initials: CJ
authors.lastname: Kephart
authors.forename: George F
authors.initials: GF
authors.lastname: Rick Hatch
mesh_terms: D000328:Adult; D001860:Bone Plates; D001864:Bone Wires; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods; D017759:Fractures, Malunited / Q000000981:diagnostic imaging / Q000601:surgery*; D015775:Fractures, Stress / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D011859:Radiography; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome; D054798:Volleyball / Q000293:injuries*